The threat of interruption is considered one of the most frequent pathologies of pregnancy. Almost half of expectant mothers went through this state. To understand the fear and excitement of women with threatened abortion can only be the woman who she is, or is preparing to become a mother. Diagnosis threat unpleasant interruption, not only for pregnant women, but also for the doctor. But the main thing is not to delay the process and promptly seek medical attention, but in this case it is possible to continue the pregnancy and forget about the threat of an interruption as a nightmare.
Threat of abortion
The threat of termination of pregnancy are divided into two groups. If the developing threat of termination before the deadline of 28 weeks - is the risk of miscarriage or spontaneous abortion. The gestation of 28 weeks to 37 talk about the threat of premature birth (in these terms premature baby can survive).
The reasons for threatened abortion
Often the threat of interruption does not lead the cause of one, but several. To determine what was the starting point sometimes is difficult, but very important for the further tactics of the doctor. The causes of the threat of interruption varied:
The most common - a lack of progesterone, which is up to 16 weeks produced by the corpus luteum, and after - the placenta. Quite often it sochetannyj progesterone deficiency (pregnancy hormone) and estrogen. As a result, the endometrium does not develop completely, and the fertilized egg can not be safely implanted in the uterus. Excess androgens (male sex hormones) reduce the amount of estrogen, which also leads to the threat of interruption. Also disturbed hormonal functions of other organs (thyroid, pituitary, adrenal glands), which indirectly affect the ovaries may cause a threat to interrupt.
- Infectious and viral diseases
In the first place, are to blame for the threat of interruption of infectious and inflammatory diseases of the female reproductive organs (chlamydia, ureaplasmosis
Ureaplasmosis - inflammation of the urogenital system
Cytomegalovirus - what is its danger?
, Trichomoniasis, and others). The causative agents of these infections cause inflammation in the genitals, rise up and infect the membranes, damaging them and causing a threat of termination. In addition, hitting the placenta, thereby violating food and cause fetal malformations, which exacerbates the threat of interruption. No less important are the common infectious diseases (measles, influenza, pneumonia). In this case, the cause of miscarriage is fever, intoxication, fetal hypoxia, a lack of vitamins.
Congenital or acquired diseases of the uterus (fibroids, etc.) are also a cause of threat of termination, due to the deficiency of the structure of the uterus, hormone deficiency, endometrial pathology.
Or, simply put, is defective, gaping cervix. It can develop as a result of hormone deficiency, and as a result of mechanical injury (abortion, tears of the cervix during labor).
Up to 70% of early miscarriages occur due to genetic abnormalities of the fetus. Such disturbances may be related to occupational hazards, adverse environmental conditions, heredity.
- Pathological conditions developing in pregnancy
It preeclampsia, polyhydramnios, placenta previa, resulting in impaired blood supply to the placenta, the fetus begins to suffer, leading to the threat of interruption.
- Somatic chronic diseases of women
Heart disease, hypertension, diabetes mellitus
Diabetes - threatening and incurable disease
, Pyelonephritis also lead to disruption of utero-placental blood flow and the threat.
Symptoms of threatened abortion
The main symptom of threatened abortion is a pain. The pain can be of a different nature from aching to intense and cramping. Localization of pain is different: in the lower abdomen, the sacrum and lower back. At a later date a woman feels "fossilization" of the uterus - hypertonicity. Sometimes, no complaints of pain, increased uterine tone set on the ultrasound. It can be local (in the specific area) or common. Less common and more dangerous sign - is bleeding from the genital tract. The nature of bleeding is different from smearing to moderate. Brown spotting evidence of the old detachment of the ovum, which was formed after the hematoma and she began to be emptied. Bright, red highlight - a sign of immediate, currently ongoing detachment.
The mainstay of treatment of threatened abortion is the emotional and physical rest. To this end, a woman prescribed bed rest and sedatives (motherwort, valerian). Remove the hypertonicity of the uterus help antispasmodics: no-spa, papaverine, spazgan. At a later date, after 16 weeks, used tocolytics such as: partusisten, ginipral, solution of alcohol. To stop the bleeding using gemostatiki (Dicynonum, etamzilat sodium). In the case of hormonal deficiency prescribe drugs that replace progesterone
Progesterone - norm and pathology